• Skip to primary navigation
  • Skip to content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Society of American Gastrointestinal and Endoscopic Surgeons

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Committees
      • Descriptions and Video Updates
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Mentors
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Mission Statement
    • SAGES Resource Guide
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Distinguished Service
      • Young Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • The Brandeis
      • Advocacy Summit Award
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • SAGES 2019 Meeting Information
    • 2019 Scientific Session Call For Abstracts
    • 2019 Emerging Technology Session Call For Abstracts
    • 2018 Prevent BDI Consensus Conference
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • Leadership Development and Health Policy Conference Videos
      • SAGES Quality Summit Meeting
      • SAGES 2018
      • SAGES 2017
      • SAGES 2016
      • SAGES 2015
      • SAGES 2014
      • SAGES 2013
    • Related Meetings Calendar
  • Membership
    • Join SAGES!
    • Give the Gift of SAGES Membership
    • Membership Benefits
    • Active Membership
    • Allied Health Membership
    • Associate Active Membership
    • Candidate Membership
    • International Membership
    • Medical Student Membership
  • For Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • Find a SAGES Member
  • Publications
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • Troubleshooting Guides
  • Education
    • Virtual Hernia Clinic
    • The Safe Cholecystectomy Didactic Modules
    • Masters Series
      • SAGES Masters Program Facebook Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • The SAGES HPB/Solid Organ Program
    • The SAGES Safe Cholecystectomy Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Endorsed Courses
    • SAGES Robotics Fellows Course
    • MIS Fellows Course
    • Free Educational Webinars
    • SMART Enhanced Recovery Program
    • SAGES Quality Initiative
    • SAGES OR SAFETY Video
    • SAGES.TV Video Library
    • SAGES Surgical WIKI
    • iMAGES Image Library
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Research Opportunities
    • SAGES Endorsed Courses
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search the Video Library
  • Log In

Gastroduodenal Intussusception Without Underlying Mass

Introduction: Gastroduodenal intussusception is a rare condition. Fewer than 80 cases have been reported in the literature. Usually, a gastric mass acts as a lead point of the intussuception. Both benign and malignant tumors have been implicated as potential lead points.

Case Presentation: A 79 year-old female presented to the ER with dysphagia and epigastric pain for 1 day. She had symptoms of gastric outlet obstruction and underwent EGD. This demonstrated gastritis and she was treated for H. pylori. However, she returned to the ER several times in the next 3 weeks with recurrent symptoms. Repeat EGD demonstrated intussusception of the gastric fundus into the duodenum, which was reduced. She recurred again and was more difficult to reduce on endoscopy. Thickened gastric folds were noted in the fundus. EUS and CT demonstrated no mass. She was referred for laparoscopic gastropexy. The greater curvature of the stomach was mobilized and the short gastrics were taken down to examine the posterior wall of the fundus. No mass was seen or palpated. The patient was discharged on the second postoperative day. There has been no recurrence of symptoms at six week follow-up.

Methods: English language literature was reviewed. 42 articles were identified from 1966 through 2009. There were no randomized trials.

Discussion: The majority of patients with gastroduodenal intussusception have an underlying gastric mass that acts as a lead point. Adenomatous polyps and leiomyomas are most commonly identified. Carcinomas and sarcomas are rarely found. The typical treatment is surgical, to remove the underlying mass. In patients without a mass as a lead point, laparoscopic gastropexy can be performed to prevent recurrence.

Conclusion: In a patient without an identifiable mass, laparoscopic gastropexy presents an attractive alternative to formal gastric resection.


Session: Poster

Program Number: P347

View Poster

Post Views: 129

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2010 abstract archive

Recently, on SAGES…

Robotic Surgery

Spotlight: Robotics Committee

In the most recent issue of SCOPE, SAGES President Dr. Jeffrey Marks shared his desire to highlight the hard work of the many SAGES committees. As the Society strives to fully realize the new SAGES University Masters Program, the initial focus will be on the affiliated pathway committees and task forces. This is the third […]

Mastering the Art of Surgery – Annual Meeting Press Release

Mastering the Art of Surgery At the 16th World Congress of Endoscopic Surgery and 2018 SAGES Meeting April 11th–14th in Seattle, WA The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) will kick off its 2018 Annual Meeting as part of the 16th World Congress of Endoscopic Surgery. Hosted by SAGES and CAGS (Canadian Association […]

Complete the SAGES Video Based Assessment Survey for a Chance to Win!

https://survey.az1.qualtrics.com/jfe/form/SV_5pCM9JWvDBphkjj Who Can Enter Open to any surgeon who is either a member of SAGES or an attendee at the 2018 SAGES Annual Meeting AND who completes the 2018 SAGES Video Based Assessment Online Survey at the link above. Drawing Entry Period The drawing period is from survey launch on April 6, 2018 to 11:59pm […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Newsletter Subscription

  • This field is for validation purposes and should be left unchanged.

Important Links

SAGES 2019 Meeting Information

Healthy Sooner: Patient Information

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

· Log in

Copyright © 2019 Society of American Gastrointestinal and Endoscopic Surgeons · Legal
· Managed by BSC Management, Inc